0001140361-13-045275.txt : 20131209 0001140361-13-045275.hdr.sgml : 20131209 20131209161309 ACCESSION NUMBER: 0001140361-13-045275 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131206 FILED AS OF DATE: 20131209 DATE AS OF CHANGE: 20131209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FEDERATED NATIONAL HOLDING CO CENTRAL INDEX KEY: 0001069996 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 650248866 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 14050 NW 14 STREET STREET 2: SUITE 180 CITY: SUNRISE STATE: FL ZIP: 33323 BUSINESS PHONE: 9545819993 MAIL ADDRESS: STREET 1: 14050 NW 14 STREET STREET 2: SUITE 180 CITY: SUNRISE STATE: FL ZIP: 33323 FORMER COMPANY: FORMER CONFORMED NAME: 21ST CENTURY HOLDING CO DATE OF NAME CHANGE: 19980909 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DORF CARL CENTRAL INDEX KEY: 0001186092 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 131265743 MAIL ADDRESS: STREET 1: 7343 WEST PERSHING AVENUE CITY: PEORIA STATE: AZ ZIP: 85387 4 1 doc1.xml FORM 4 X0306 4 2013-12-06 0 0001069996 FEDERATED NATIONAL HOLDING CO FNHC 0001186092 DORF CARL 14050 N.W. 14 STREET SUITE 180 SUNRISE FL 33323 1 0 0 0 Common Stock, par value $0.01 per share 2013-12-06 4 M 0 500 13.17 A 63964 I Held by Dorf Trust Common Stock, par value $0.01 per share 2013-12-06 4 F 0 473 13.95 D 63491 I Held by Dorf Trust Common Stock, par value $j0.01 per share 59624 I Held by Carl Dorf Rollover IRA Common Stock, par value $0.01 per share 5500 D Stock Options (right to buy) 13.17 2013-12-06 4 M 0 500 0 A 2008-12-06 2013-12-06 Common Stock, par value $0.01 per share 500 0 D Stock Options (right to buy) 12.58 2009-01-30 2014-01-30 Common Stock, par value $0.01 per share 4500 4500 D Stock Options (right to buy) 4.73 2010-01-02 2019-01-02 Common Stock, par value $0.01 per share 15000 15000 D Stock Options (right to buy) 2.45 2012-08-22 2021-08-22 Common Stock, par value $0.01 per share 10000 10000 D Stock Options (right to buy) 4.40 2013-04-06 2022-04-06 Common Stock, par value $0.01 per share 15000 15000 D Represents a "net exercise" of vested stock options. There was no open market sale of shares by the reporting person. A total of 473 shares were withheld by Issuer for payment of the exercise price, and the net exercise resulted in 27 shares being issued by the Issuer to the reporting person. Closing market price of Federated National Holding Company common stock on the respective transaction date. 4000 of the total shares are restricted shares subject to vesting under the Issuer's 2012 Stock Incentive Plan. Stock options vest 20% per year. Stock options vest 33 1/3% per year. /s/ Carl Dorf 2013-12-09